Med Surg Tele

Med/Surg Telemetry RN — Sacramento, CA

13-Week Contract | 12-Hour Days | 7:00 AM – 7:30 PM

This acute care Med/Surg Telemetry unit manages a broad, high-acuity patient population including GI, GU, CHF, ia, sepsis, chest tubes, COVID, bariatric and abdominal surgery, mastectomy, orthopedic pre- and post-op, short-stay elective post-ops, psychiatric care, alcohol withdrawal, and OB overflow couplets. The unit serves a high proportion of county care patients, including individuals experiencing homelessness, substance use disorders, and incarceration. Cultural sensitivity and comfort with translator services are essential.

Schedule & Float

• 12-hour days, every other weekend (Saturday/Sunday)
• Self-scheduling, finalized by the manager
• First to float: in-house to ER holds and between Med/Surg and Observation units; rare mid-shift float to a nearby facility is possible
• Holiday rotation with core staff; travelers expected to work 2 of 3 major holidays (Thanksgiving, Christmas, New Year's)

Clinical Expectations

• Must be proficient in reading and interpreting telemetry strips independently (strips printed and charted every 4 hours; no monitor techs on unit)
• Titratable drips: Heparin, Diltiazem, Amiodarone
• Respiratory support includes BiPAP and high-flow oxygen (no vents)
• Charge nurse on each shift; generally does not carry an assignment
• 1–2 day preceptored orientation

Requirements

• Active RN license (CA or compact)
• BLS (AHA), ACLS (AHA), NIHSS
• Telemetry strip interpretation proficiency
• Pre-assignment competency exam required; must score 80% within 2 attempts

Dress Code: Navy scrubs; undershirts in navy, white, or black

Guaranteed Hours: 36/week

Start Date: December 15, 2026